HomeMy WebLinkAbout19-21374 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21374
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21374 Address: 38110 COUNTY RD 54
Permit Type: DEMOLITION ZEPHYRHILLS, FL.
Class of Work: 636-DEMOLITION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0000-39900-0040
Improv. Cost: 67,551.00 OWNER INFORMATION
Date Issued: 6/13/2019 Name: CITY OF ZEPHYRHILLS
Total Fees: 100.00 Address: 5335 8TH ST
Amount Paid: 100.00 ZEPHYRHILLS FL 33542
Date Paid: 6/13/2019 Phone: 813-780-0020
Work Desc: DEMOLITION HERCULES AQUATIC BUILDING & SWIMMING POOL
CONTRACTORS APPLICATION FEES
TNT ENVIROMENTAL LLC DEMOLITION 100.00
I�
I
Ins ections Required
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Sp ificati s Must Accompany Application.All work shall be performed in accordance with
i Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CeNTRPATOR SIGNATURE PERMIT OFFI R
RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ai3-7$0-0020 City of Zephyrhllls Permit Application Fax-813-M-002i
Building Department
Date Received Phone.Contact'for Permtttln `
Owners Name t_ l T tr S Owner Phone NumberItM= �,a bG-G.
Owner's Address : 3 2 3 35 2- 31 Owner•Phone Number
Fee Simple Titleholder Name 1 owner Phone Number { _
.7
Fee Simple Titleholder Address
JOB ADDRESS C, ZA 4 LOT#
SUBDIVISION PARCEL.ID# a a» otxar�- �!D O:: is o O
(OBTAINED FROM PROPERTYTAX NOTICEI:
WORK PROPOSED NEW CONSTR ' ADD/AI:T" SIGN~ ' .[� " ` DEMOUSH
`.INSTALL REPAIR . .
PROPOSED-.USE. Q SFR [ COMM OTHER
TYPE OF CONSTRUCTION''; � :-BLOCK �' �, .:FRAME C.� STEEL INC
p;• '
DESCRIPTION OF WORK .4 'S� d' !?'7 DV (.� G a}• `SW rrh
BUILDING SIZE SQ.FOOTAGE HEIGHT_ : . ..-
�� �JrI. 1ALUATION Z1F Td'TAL CONS`i RUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C,
=PLUMBING r$
=MECHANICAL ($ VALUATION OF MECHANICAL INSTALLATION
=GAS [� ROOFING SPECIALTY " • OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO -
COMPANY `-- Vi.i'd�
SIGNATURE e // REGI9TERED Y t N FEE CURREt+
Address S `,A), Dr,D.C. License# 101 Q-ol-
ELECTRICIAN COMPANY
SIGNATURE a_ REGISTERED I Y/ N FEE CURR�EI1 Y!N
Address d:lcense# l
PLUMBER COMPANY
SIGNATURE ...-REGISTERED. . Y/,N FEE CURREN Y/N.
Address .License ,F,
MECHANICAL COMPANY
SIGNATURE : " .• REGISTERED I_ N. . FEE CURREn
Address -; Lloense# �-
OTHER COMPANY.., .
SIGNATURE' REGISTERED Y/ N .,FEE GURRE� Y•%N::.' -.
Address `License'
RESIDENTIAL•::'iAttacti 2:..ft,[fl ns 2 ets:df ui'tding:P ns {'i j sef of.Energy'Eaiiris:iZ-0 V1l;Pstm- I ct navir; I*.* tTcn.
Minimum,ten(1D),vvotltln'g,days<+ iter_•84 IN rlate:-:Requfred aiie(te Gonsfru'ction Plans;-Stomiwatei Plans w/:Siit:Fence tnstalled,
&anti&ryFadl4ttes&=1dutirpsterSite*Work:.bumit.forsulidtvlstotssltargepr+�ects`<>. ::
COMMERCIAL Attach(3)complete s®ts°of BiiHiNng Plans pies a t:ife Safety Page;(1)set of Energy►Forms.R O-W Permit for new construction:
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence Installed,
Sanitary Facilities&T dumpster,Site Work,Permit far ail,:new=projects.All commercial.requirements-must most compliance
SIGN PERMIT Attach(2)s®tsof'Engineereif Plans:;;:-:::::
""PROPERTY SURVEY NEW constmedon..'. y
Directions: 7_;
FIII out application completely.
Owner&.Contractor sign back of application.notarized
If over*MD.a Notice of Commencement Is required. (AfC upgrades over$7500)
'• Agent(for the contralotor.)or:PdW&of Attorney(for the owner)would be someone with notarized letter from owner authorizing some
'DVER THE GOUNTER.PERMIT xe_- .-(Front of-Application Only)
Reroofs if shingles Sewers- Service Upgrades A/C . Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
1
NOTICE OF DEEDRESTRICTiONS: The undersigned understands;lhot-thla;.pp. It;may.be subject to"dead"restrictions°
which may:be.mom resttlo#Ne#hefrt Ci#urity°regute#lane: The�:trnibralgriei�'asstiri�es rospo406 for 60mplli= with-any
applicable-deed,restrictlons.
UNLICENSED CONTRACTOM-AND.-CONTRACTOR RESPONSIBIhI'ftES:: �If-tile owner-has,-hired a, contractor or
contractors to undertake work,they:may wreq�rltedKto,Ipe,ticensod In..accordance.with-state-with regulatlons- If the
contractor is not.-licensed as requIm&by taw; troth the owner and contractor.may-lie cited-for a-misdeme a or iolation
under state law.. If the owner or Intended.=contractor:are,prtcertain as-to what-ilcensing•,requirements may,apply..for the
Intended work,they are advised to contact th`s';Pasco County Buliding'Inspedtton Divlslon---Llcenein 'Section at 727-647=
Soon. Furthermore, If the owner,has'Hired a cai'Mid1 it.or contractors, he Is advised to have the contractor(s). sign
portions of the"contractor Block"- of this application for'.which they wlit:be,.responsible. -if you,,as the ovine tlgn as the
contractor, that tray be IndtcaiW61!hit ieIt'not'properly..licensed and-Is not entitled to permitting priirlleges in Pasco
County. J.
TRANSPORTATION=IMPACTIUTIGI MOO'1MRACTAItll9-AEs0u1.tCE RECOVERY PEES: The-undersigned-understands .
that Transportation impact Fees:and._itecouree Recovery.Fees n*Y'mpply toi the construction of.ngW,bulldings,.:change°of
use in existing bulldirigs; or«eXpansld*rv:affiWilli =bultdingi3, as specified.in Pasco-County:Or Ifience'number 89-07 and
90-07, as amended.T-ho,undersigned ali munderstands, th9t.such fees;°,ag:rrtat—duej,wJ%-,be identified at the1mwof•
permitting. it Is further understood that Transportation.Impact-Fees and°`Remmio.Recoverar:Fees.must be paid prior to
receiving a-"cerHflcste•of-occupancy" or finid*wer:release. #-the project;does:not'Involve a:.certmcate of occupancy...or
final power.release.the fees--mullt-be-paid-prior to permit Issuance...Furthernoie;:if.Pasco;County:WatedSewer.-impact
fees are,due, they:-must:bwpald;prior to permitdssuancaln.accordance With:appitcabfe_Pasco County ordinances.
CONSTRUCTION`LIEN"LAW"(Chapter 118,Plori'da Statutes,as amended): 0 valuation of work Is$2,600.00-or more;I
certify that 1, .the. .appllcan#, have-been provided with,-a=copy of,-the°:"Florida-..ConstructtoW-Lien_Laws-Homeownees
Protection Guide" prepared by the Florida Department of Agriculture and Consumpr:Affalrs.. If the applicant is.someone
other than the"owner', I certify.that.I-have-0btalnd&0 copy;of.-the above•destrrlt}etl docuri en#=and:promise In.good•falth to
deliver it to-.the."owner`prior,,twoommencamentc
CONTRACTOR'S/OWNER'S AFFIDAVIT: 1.coft,:that atlFth0nformatlon::IWthis applicallon.-is accurete.and that all work
will'be done In compliance with all-applicable Iaws regulating construction.zoning and-land_development. Application is
hereby made to obtain .a.permit.,to do watk,.and Installation as Indicated,... I-certifji that no work:or. lnstaailation has
commenced prior to Issuance of a permit-and that.ail work will be'performt3d'-to meet,standards of.atl laws regulating
construction, County and City codes, zoning regulations, and land development-regulations-in the jurisdiction.:. I Also
certify that I understand that the regulations of other government agencies may apply..'to.the intended:work, and that It is
my responsibility to Identlfy•What.acdons I must take:to bedn:.corrlpliance: Such agetides-lndude but-are.not limited to:
Department of Environmenaal�°l rotection=Cypress:-Biiyheadi lNetland Areas,and Environmentally Sensitive
Lands;WaterlWastewater Treatment.
Southwest Florida Water Management•::Disbidt Wells'. -Cypress!'8ayheads .Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls;Docks,Navigable Waterways.
Department of,Health-.8. Rehabilitative $ervices/Envirgnmental;:Health Unit:Wells,..:Wastewater-•Treatment,
Septic Tanks: - '.
US-Environmental Protection Agency fsbestos abatement.. ,
Federal Aviation Authority:Runways.
t understand that the followingres#nctitins apply-to the us@ of flll:`
Use of fill Is not allowed In Flood Zone Ir unless expressiy permitted,, ,
- if the:fill-material:Is to.be-used:>In•flood Zone."A", It.is understood-that a'dralnage plan addressing a
"compensating volume":will be submitted at time of.permitting wttich Is prepared by a professional engineer:
licensed by:-the;State�:of Fiotida; '
If the fill 1611 rlel-:.wto:.be used-in Flood Zone "A" Ins connection-wifh:ajpeirmltted building using stem wall
consbuctlon, I certlfy et fill 111.6a used.only•to.f111 the arse withlnAhe•stern Wall.
If fill material is-to'be-used=In-..any area, I•certify that:use. of•slick•fillwIlf.ribit adversely affect adjacent
properties. If use-of,fill Is found to adversely.affect,adjacent:propertle%.the owner may be cited for.vtolating,
the conditions of-thb:building=permit.lssued-under.the atlached.permit yp for-dots-less-than:one .1)a
acre:which arwelevated.bylfilt;art engineered drainage plan is required:.
If I am.the AGENT-FOR THE OWNER;I"fillse in good faith to-Inform the owner of=the.permitting:candluons set forth in'
this affidavit-Priorto commencing coristrud#ion. -1-understand that wsepatate perrntt,may be required for electrical work,
plumbing, signs,.wells..:poolp,.,atr.conditioning, gsis;:.oc:other tnstalfations•not.speclflcally Included.-In.-the appiicatlon •A'
permit Issued sha l-,b bdhi trued to-be is llcense_to,proceed with the work and:not:pe-otjd dty.to..vlolate;•-cancel, alter;-or
set aside any provislons of`the:tWhnkal•codes;-nor shall Issuance of a:parmIt.prevent the Bulldkig.Official from thereafter
requiringa carreodon.ci-errbm.:in-:plans,'coristtuction.orvlolationwof-any codes;:.:Every=permit-1.ssued•shall become invalid
unless the work autlorizedby such permit-.is-commenced•within sfx monthsf of-permit Issuance,or If work authorized by
the perrnitls suspended:or.,abandoned:for,&-period of;slx:el)lmontlis;eftertha time-thwwork-49 commenced. An extension
may be,requested,;ln writing;:frtpm'tiie'8uilaing Ufflcia!for a perlod.aot,to..exdeed°rilnety-,-(tO).days-•azrd'will'demonstrate
justifiable cause fix-the extension., if work ceases,for ninety(SD)consecudve'days,..thOlob:le.consldered abandoned.
WARN1Nt;i TO OYVNER;''YOUR_i"A11a1RE TtREfDk A;_IOtfOEa3 ;CttMME1�lC1tlMEMT,MAY RESULT IN YOtfR
PAYINQ?WICE;FOR tMPROVEMENTB;T�:ti!OUR PRflPEIi Y.' IP:YO.U;f Tf.KtDY"TO'�i -N4FINANCINt3 t±ONSULT
tt :,
FLOPJDA'JURAT,(F;&'t1,':03}. --
OWt11:R`ORAtlEtliT�r-.�c�'�'..•w� C�IMTIi�iGtQ _.
Subscrlbod and swam to(or Ormod)Mom me this Sdbacribad aril awam-to.(ot atprrrtedy mSt. is
!�:c .:�el'by -G,1.L._:b r� r��3•��i ...•y:..:a :�: t-.u:�-�,C_1:0
Is/are personally Itho"Wong orhaalttave 6.. Who:titt psisonallyktrown tome arhaameve p[�adieced.
� �{Z S _1c. .ae Iaentlfk5itiprt� aB IdenttRcatton.
L
Gyw�na. �-�y b Notary Public Notary Public'
coommmission NO. �,(� S S`�i Comrrt sian•Na. ��}-j-{ �S
Name of Notary 100d;pdnted or stamped Name of Notary typed.printed or sh mped
'w"ti!'4M �114°b+�,�+4+•';I►rEY==
ubft Stale of Florida tt'-010� Notary Pubk State of FbridausceN4mw,%1w GG 104555 � Dams Ruaeilsrl4rzo21 r My commission cG 104555
All1 dS� Expires 05/14r2021
INSTR#201 91 041 36 OR BK 9925 PG 1958 Page 1 of 1
06/19/2019 11:08 AM Rcpt:2065018 Rec:10.00 DS:0.00 IT:0.00
Paula S. O':NeiC Ph.D., Pasco County CCerk&ComptroCCer
Ce
NOTICE OF COMMENCEMENT
Permit No. .2 3 W
PropettyldentifieatlonNo. Da-a�al�oaoo-39400- oo`Fa
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real propetry,and in accordance with
Section 713.13 ofthe Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
I.Descriptionofproperty-ftelderofption.)A • am6A arrltn1 l ei ta.1;4,,ist 4'112 OF 5w k40FSeC Z.r,.
a)Strt:et Address:
2.General description of improvements: SLoA
4 '5..5 i t,.,4 i tJ A .Ace L .
3.Owner Ltfortnation
a)Name and address: Ci 4- C F Z..e h ea reL„I I S .5349 9 4% S�. ?A4 _335 y a
b)Name and address of fee simpleu leholder(if oth than ownez
e)Interest in property
4.Contractor Information
a)Name and addres3:71g— Ert.%I LC2 Ytme,%+AL.LL C- MUM A;, Cit101/40r. rX
b)Telephone No.: (��t�$_}y Fax No.(Opt.)JS2-SG-7. 63^J Rt
5.Surety Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt)
6-.Lender
a)Name and address:
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address:
h)Telephone No.: Fax No.(Opt.)
S.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(I)(b),Florida Statutes:
a)Name and address:
b)Telephone No.: c Fax No.(Opt.)
9.E.xpiration date ofNotice of Commencement(the expiration date is one year from the date of recording unless a difmtent date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN-ATTORNEY BEFORE
COMMENCING WORK OR.RECORDING YOUR NOTICE OF COMME NT.
STATE OF FLORmA
COUNTY OF PASCO /
Sipumm ofoe or owna'B Mdwd=d 0f6WM orlpnn,er/manaw
P��rintNenx '-----
The f rego' instr ume t was acknowled . before me this Zz7%—icy of 20f_by
as (type of authority,e.g.officer,truatce,attorney
im fact)for name of arty on behalf of whom instrument was execcuutt4.
Personally Known/0 Pre ced Id ntification_ Notary Signature
Type of identification Produced Name'(print) r/
Verification u r totes.Under penalties ofpetjury,I declare that I have read the foregoing and that
are pf my ho ledge and beG .
.
Notary Public•State of.florfda,
Commisslon#GG 209299 Sip,Eweof ITawral?men +gams Above
my Camm.Expires Auj 13,2022
"""'0anded through N6tlonal Notary Assn.
STATE OF FLORIb A,COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
-TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
1NI AY HAND ANY OFFICIAL SEAL THIS
DAY OF j Lk-Yk- 2 Q
PAULA SqINEIL,CLWK&COMPTROLLER
_v r BY I \n- DEPUTY CLERK